DR. GAEL LONERGAN (NPI# 1700880549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700880549 |
| Entity Type | Individual |
| Full Name | DR. GAEL LONERGAN |
| Credential | MD |
| Practice Address |
12554 Riata Vista Cir Austin TX 78727-6431 |
| Practice Telephone | 5127955100 |
| Practice Fax Number | 5127955122 |
| Mailing Telephone | 5127955100 |
| Mailing Fax Number | 5127955122 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2015-01-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085P0229X |
Radiology Specialization: Pediatric Radiology |
J2661 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | CSHCN1 | 039691306 | 01 |
| TX | 039691303 | 05 | |
| TX | CSHCN2 | 039691308 | 01 |
| RRMCARE2 | P00282580 | 01 | |
| RRMCARE | P00070657 | 01 | |
| TX | 039691304 | 05 |
| Street Address |
12554 RIATA VISTA CIR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78727-6431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233519 | Gregory C Karnaze | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2005-05-31 |
| 1548605983 | Dan Pong | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2013-04-29 |
| 1902240914 | Kellan Michael Schallert | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2013-04-21 |
| 1497098925 | Richard William Ahn | Radiology | 12554 Riata Vista Cir, Austin, TX 78727 | 2013-04-03 |
| 1578822979 | Ryan M. Durel | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2012-05-07 |
| 1790059921 | Daniel G Bloom | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2012-03-06 |
| 1841587474 | Nimisha Doshi Khanna | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-07-04 |
| 1295021616 | Stanislav I. Spiridonov | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-06-23 |
| 1760775134 | Aditi A Desai | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2011-05-18 |
| 1134412653 | Arthy Saravanan | Radiology | 12554 Riata Vista Cir, Austin, TX 78727 | 2011-05-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953188 | Kassidy Lewis | Specialist/Technologist | 12708 Riata Vista Circle, A 106, Austin, TX 78727 | 2020-05-14 |
| 1922632405 | Little Light Aba, LLC | Behavioral Analyst | 6001 W Parmer Ln Ste 370 #3064, Austin, TX 78727 | 2020-02-24 |
| 1497239081 | Alison Laurie Cook | Speech-Language Pathologist | 13112 Kellies Farm Lane, Austin, TX 78727 | 2018-09-19 |
| 1326529371 | Excelsior Anesthesia Pllc | Anesthesiology | 12728 Council Bluff Dr, Austin, TX 78727 | 2018-08-28 |
| 1992227847 | Kathryn Ann Aldridge | Registered Nurse | 12608 Terra Nova Ln, Austin, TX 78727 | 2017-07-12 |
| 1912431404 | Harry Lundell | Counselor | 5404 Pony Chase, Austin, TX 78727 | 2017-04-12 |
| 1811364078 | Peoples Pharmacy | Pharmacy | 5505 W. Parmer Lane, Building 4, At Apple Wellness Center, Austin, TX 78727 | 2015-08-24 |
| 1346665080 | Emily Doubt Chiropractic Pllc | Chiropractor | 3951 W Parmer Ln Ste. 300, Austin, TX 78727 | 2014-03-04 |
| 1053689745 | Rahim & Karim, Inc | Durable Medical Equipment & Medical Supplies | 1914 W. Howard Lane, Suite C, Austin, TX 78727 | 2011-12-08 |
| 1538445937 | Thyroid Cytopathology Partners Pa | Pathology | 12357 A Riata Trace Parkway, Bldg. 5, Suite 100, Austin, TX 78727 | 2011-10-30 |
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| Taxonomy Code | 2085P0229X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Pediatric Radiology |
| A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265756233 | Joe Blunt Baker Iv | Radiology | 12554 Riata Vista Cir, Austin, TX 78727 | 2010-03-19 |
| 1396954756 | Shaheen M. Hussaini | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2007-05-22 |
| 1538163068 | Binh Truong | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2005-06-13 |
| 1891799417 | Debra Pennington | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2005-06-10 |
| 1174527022 | Lori Lee Barr | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2005-06-09 |
| 1265436240 | William J. Banks | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770985103 | Ach Medical Imaging, LLC | Radiology | 9889 Bellaire Blvd Ste E202, Houston, TX 77036-3463 | 2014-09-17 |
| 1053633727 | Thomas Stanley Lipscomb | Radiology | 4251 Sarita Ct, Fort Worth, TX 76109-4732 | 2010-02-23 |
| 1982889887 | Steven A Ross | Radiology | 4815 Alameda Avenue, El Paso, TX 79905-2705 | 2008-01-09 |
| 1336261403 | Rajvee M Shah | Radiology | 7168 Manor Oaks Dr, Dallas, TX 75248-2241 | 2007-04-06 |
| 1942377148 | Carmen Rene Emery | Radiology | 333 N. San Saba, River City Imaging Associates, San Antonio, TX 78207 | 2006-11-30 |
| 1174569842 | Mario E Ruiz | Radiology | 18126 Prestonshire, San Antonio, TX 78258-4473 | 2006-06-21 |
| 1053386326 | Linda Patricia Thomas | Radiology | 23814 Riata Cyn, San Antonio, TX 78258-4897 | 2006-02-21 |
| 1609499680 | Janina Patsch | Radiology | 6701 Fannin St Ste 470, Houston, TX 77030-2608 | 2020-05-25 |
| 1174037287 | Gilead Image Center | Radiology | 3910 N Jackson Rd, Pheer, TX 78577 | 2017-11-28 |
| 1700204427 | Atul Anant Utturkar | Radiology | 5323 Harry Hines Blvd, Dallas, TX 75390-7201 | 2014-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.